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báo cáo khoa học: " Determining research knowledge infrastructure for healthcare systems: a qualitative study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Determining research knowledge infrastructure for healthcare systems: a qualitative study | Ellen et al. Implementation Science 2011 6 60 http www.implementationscience.eom content 6 1 60 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Determining research knowledge infrastructure for healthcare systems a qualitative study Moriah E Ellen1 2 John N Lavis1 2 3 4 Mathieu Ouimet5 Jeremy Grimshaw6 and Pierre-Olivier Bédard5 Abstract Background This study examines research knowledge infrastructures RKIs found in health systems. An RKI is defined as any instrument i.e. programs interventions tools implemented in order to facilitate access dissemination exchange and or use of evidence in healthcare organisations. Based on an environmental scan 17 key informant interviews and scoping review 26 studies we found support for a framework that we developed that outlines components that a health system can have in its RKI. The broad domains are climate for research use research production activities used to link research to action and evaluation. The objective of the current study is to profile the RKI of three types of health system organisations-regional health authorities primary care practices and hospitals-in two Canadian provinces to determine the current mix of components these organisations have in their RKI their experience with these components and their views about future RKI initiatives. Methods This study will include semistructured telephone interviews with a purposive sample region of a senior management team member library resource centre manager and a knowledge broker in three regional health authorities five or six purposively sampled hospitals and five or six primary care practices in Ontario and Quebec for a maximum of 71 interviewees. The interviews will explore a which RKI components have proven helpful b barriers and facilitators in implementing RKI components and c views about next steps in further development of RKIs. Discussion This is the first qualitative examination of potential RKI efforts that can increase the use